Provider Demographics
NPI:1548476187
Name:FOARD, KAREN LIGHTON (MED, IBCLC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LIGHTON
Last Name:FOARD
Suffix:
Gender:F
Credentials:MED, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 TARA CIR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-2274
Mailing Address - Country:US
Mailing Address - Phone:814-237-1506
Mailing Address - Fax:
Practice Address - Street 1:2526 TARA CIR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2274
Practice Address - Country:US
Practice Address - Phone:814-237-1506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAL15444174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN